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Febrile convulsions: factors and recurrence rate
1Department of Paediatrics, Jos University Teaching Hospital, Nigeria.
Tropical and Geographical Medicine
|July 1, 1992
Summary
Younger age, moderate fever (39-39.9°C), and being first-born increase the risk of febrile seizure recurrence in children. These factors aid in predicting future seizure risk.
Area of Science:
- Pediatric Neurology
- Epileptology
Background:
- Febrile seizures are common in childhood.
- Predicting recurrence risk is crucial for management.
Purpose of the Study:
- To identify factors influencing febrile seizure recurrence.
- To assess the prognostic value of these factors.
Main Methods:
- Prospective study of 147 children with first febrile convulsions.
- Analysis of age, pyrexia degree, birth order, and sex.
Main Results:
- Younger age at first seizure correlated with higher recurrence.
- Moderate pyrexia (39-39.9°C) increased recurrence tenfold.
- First-born children had five times higher recurrence.
- Overall recurrence rate was 29.3%; male preponderance observed.
Conclusions:
- Age, fever severity, and birth order are significant predictors of febrile seizure recurrence.
- These factors can inform risk assessment and clinical management strategies.